Experiences of stigmatization and discrimination in accessing health services: voices of persons living with HIV in Ghana.
Identifieur interne : 000016 ( PubMed/Corpus ); précédent : 000015; suivant : 000017Experiences of stigmatization and discrimination in accessing health services: voices of persons living with HIV in Ghana.
Auteurs : Mavis Dako-Gyeke ; Phyllis Dako-Gyeke ; Emmanuel AsampongSource :
- Social work in health care [ 1541-034X ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- geographic : Ghana.
- psychology : Acquired Immunodeficiency Syndrome, HIV Infections, Prejudice.
- Adult, Aged, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Male, Middle Aged, Qualitative Research, Social Stigma.
Abstract
Drawing on Earnshaw and Chaudoir's HIV stigma framework, this study explored the experiences of persons living with HIV and AIDS regarding stigmatization and discrimination in accessing health services. Using a qualitative research methodology, 42 participants were purposively recruited during support group meetings of persons living with HIV and AIDS (PLWHA) at Amasaman in Accra, Ghana. Four focus group discussions (n = 22) and 10 in-depth interviews were conducted. Discussions and interviews were audio-taped, transcribed, and categorized based on the objectives of the study. The findings indicated that PLWHAs had knowledge of stigma that was experienced through enacted, anticipated, and internalized stigma mechanisms. Evidence showed that PLWHA did not experience stigma and discrimination when they accessed services at the Korle-Bu Teaching Hospital, the largest hospital in Ghana. However, the situation was different when they accessed services at other public health facilities. Based on the findings, implications are discussed for policy, social work, and public health practices.
DOI: 10.1080/00981389.2015.1005268
PubMed: 25760492
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pubmed:25760492Le document en format XML
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<author><name sortKey="Dako Gyeke, Mavis" sort="Dako Gyeke, Mavis" uniqKey="Dako Gyeke M" first="Mavis" last="Dako-Gyeke">Mavis Dako-Gyeke</name>
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<author><name sortKey="Dako Gyeke, Phyllis" sort="Dako Gyeke, Phyllis" uniqKey="Dako Gyeke P" first="Phyllis" last="Dako-Gyeke">Phyllis Dako-Gyeke</name>
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<term>HIV Infections (psychology)</term>
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<front><div type="abstract" xml:lang="en">Drawing on Earnshaw and Chaudoir's HIV stigma framework, this study explored the experiences of persons living with HIV and AIDS regarding stigmatization and discrimination in accessing health services. Using a qualitative research methodology, 42 participants were purposively recruited during support group meetings of persons living with HIV and AIDS (PLWHA) at Amasaman in Accra, Ghana. Four focus group discussions (n = 22) and 10 in-depth interviews were conducted. Discussions and interviews were audio-taped, transcribed, and categorized based on the objectives of the study. The findings indicated that PLWHAs had knowledge of stigma that was experienced through enacted, anticipated, and internalized stigma mechanisms. Evidence showed that PLWHA did not experience stigma and discrimination when they accessed services at the Korle-Bu Teaching Hospital, the largest hospital in Ghana. However, the situation was different when they accessed services at other public health facilities. Based on the findings, implications are discussed for policy, social work, and public health practices.</div>
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<Abstract><AbstractText>Drawing on Earnshaw and Chaudoir's HIV stigma framework, this study explored the experiences of persons living with HIV and AIDS regarding stigmatization and discrimination in accessing health services. Using a qualitative research methodology, 42 participants were purposively recruited during support group meetings of persons living with HIV and AIDS (PLWHA) at Amasaman in Accra, Ghana. Four focus group discussions (n = 22) and 10 in-depth interviews were conducted. Discussions and interviews were audio-taped, transcribed, and categorized based on the objectives of the study. The findings indicated that PLWHAs had knowledge of stigma that was experienced through enacted, anticipated, and internalized stigma mechanisms. Evidence showed that PLWHA did not experience stigma and discrimination when they accessed services at the Korle-Bu Teaching Hospital, the largest hospital in Ghana. However, the situation was different when they accessed services at other public health facilities. Based on the findings, implications are discussed for policy, social work, and public health practices.</AbstractText>
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<Keyword MajorTopicYN="N">HIV</Keyword>
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